Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Limited US Pelvic (Non-OB)
Low
$24
Average
$355
Median
$266
High
$3.4k
Each hospital's average Medica rate, under the methodology and billing class chosen below.
305 hospitals; the 90th percentile is 6.3× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
589 hospital rates
iThe hospitals that file a Medica rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 7 | $300 | $273 | $66 | 24% | 40–121 | $138 – $316 |
| 2 | HealthEast St John's Hospital Maplewood, MN other · inpatient | 2 | $133 | $133 | $28 | 21% | 6–60 | $105 – $161 |
| 3 | Amery Hospital Amery, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $285 | $300 | $207 | 69% | 3–30 | $96 – $680 |
| 4 | Fairview Health Services Edina, MN other · inpatient | 1 | $465 | $465 | — | — | 3–30 | $465 – $465 |
| 5 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $58 | $58 | — | — | 3–30 | $58 – $58 |
| 6 | Fairview Health Services Burnsville, MN other · inpatient | 1 | $159 | $159 | — | — | 3–30 | $159 – $159 |
| 7 | Fairview Health Services Wyoming, MN other · inpatient | 1 | $107 | $107 | — | — | 3–30 | $107 – $107 |
| 8 | Westfields Hospital New Richmond, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $417 | $386 | $257 | 67% | 3–30 | $49 – $817 |
| 9 | Allina Health Systems Shakopee, MN facility · other · outpatient | 5 | $519 | $473 | $95 | 20% | 2–20 | $286 – $546 |
| 10 | Allina Health Systems Owatonna, MN facility · other · outpatient | 5 | $519 | $473 | $95 | 20% | 2–20 | $286 – $546 |
| 11 | Allina Health Systems Cambridge, MN facility · other · outpatient | 5 | $519 | $473 | $95 | 20% | 2–20 | $286 – $546 |
| 12 | Allina Health Systems Faribualt, MN facility · other · outpatient | 5 | $519 | $473 | $95 | 20% | 2–20 | $286 – $546 |
| 13 | Allina Health Systems Buffalo, MN facility · other · outpatient | 5 | $519 | $473 | $95 | 20% | 2–20 | $286 – $546 |
| 14 | Lakeview Hospital Stillwater, MN facility · other · both | 1 | $113 | $113 | — | — | 2–20 | $113 – $113 |
| 15 | Mayo Clinic Health System Fairmont 56031-4575 facility · percent of total billed charges · bothfrom % of charges | 7 | $224 | $207 | $38 | 18% | 2–20 | $123 – $232 |
| 16 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 9 | $486 | $480 | $95 | 20% | 2–20 | $177 – $555 |
| 17 | Mayo Clinic Health System St, NE facility · percent of total billed charges · bothfrom % of charges | 9 | $220 | $192 | $52 | 27% | 2–20 | $105 – $232 |
| 18 | Mayo Clinic Health System Eau Claire 54703-5270 professional · percent of total billed charges · outpatientfrom % of charges | 8 | $224 | $344 | $216 | 63% | 2–20 | $107 – $730 |
| 19 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 3 | $149 | $230 | $132 | 57% | 2–20 | $125 – $417 |
| 20 | Prairie Lakes Health Care System Inc. Watertown, SD percent of total billed charges · bothfrom % of charges | 1 | $104 | $104 | — | — | 2–20 | $104 – $104 |
| 21 | Regions Hospital St. Paul, MN facility · other · both | 1 | $115 | $115 | — | — | 2–20 | $115 – $115 |
| 22 | Spooner Health System, Inc Spooner, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $521 | $521 | $161 | 31% | 2–20 | $360 – $682 |
| 23 | Hutchinson Hospital Hutchinson, MN facility · percent of total billed charges · bothfrom % of charges | 2 | $389 | $389 | $152 | 39% | 1–10 | $237 – $541 |
| 24 | Mayo Clinic Health System Mankato 56001-4752 facility · other · both | 1 | $125 | $125 | — | — | 1–10 | $125 – $125 |
| 25 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 7 | $224 | $207 | $38 | 18% | 1–10 | $123 – $232 |
← Payers reporting CPT 76857 · Snapshot 20261111T120946Z-9134e7f7